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Individual
MARK RODEFELD
Active
Individual
MARK RODEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
01054552
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01054552A
IN
Other
Enumeration date
09/07/2006
Last updated
12/14/2018
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